WGU C425 Exam Questions and Answers with Verified Solutions |
Latest 2026 Update
Q: Medicaid
Answer:
Federal and State program that provides medical assistance for low-income
Americans
Q: Medicare
Answer:
Administered by CMS under Department of Health and Human Services. A federal
program of health insurance for persons 65 years of age and older, disable, end
stage renal failure. Not comprehensive coverage-no vision, dental, etc.
Q: demand side rationing
Answer:
Prices and ability to pay ration the quantity and type of health care services people
consume
Q: Planned rationing or supply-side rationing
Answer:
Refers to government means to limit the availability of certain health care services
by deciding, for instance, how technology will be dispersed and who will be
allowed access to certain types of high-tech services. National health insurance
enables this, U.S. hasn't
Q: ACA mandates
Answer:
preventative and immunizations must be without cost sharing and no lifetime limit
on benefits
Q: individual private health insurance
Answer:
for those who don't have group coverage like farmers, early retirees, and self
employed
, Q: Medicare A
Answer:
hospital insurance, covered by payroll taxes, paid equal by employer and
employee, covers things like inpatient services, home health, hospice, benefit
period begins when person is hospitalized and ends after 60 days of release
Q: Medicare B
Answer:
supplemental medical insurance covers physician services, outpatient, diagnostic
tests, preventatives, annual deductible and coinsurance 80:20
Q: Medicare C
Answer:
Additional coverage not covered under A or B. Often called the advantage plan or
choice plan like vision or dental, eliminates need for Medigap, people can either be
in fee for service program or have this
Q: Medicare D
Answer:
Prescription drug coverage, available to ppl who have A or B, monthly premium
and deductible, created under Medicare Prescription Drug improvement and
modernization act of 2003 (MMA)
Q: Medicaid
Answer:
Title 19, finances for indigent, means tested program based on income and per
capita of state, financed by stated and federal
Q: CHIP
Answer:
Title 21, covers kids in low income families under 19, incomes at or below 200%
of federal poverty level, states can use Medicaid or have this separate program, fed
and state financed
Q: issues with Medicaid
Latest 2026 Update
Q: Medicaid
Answer:
Federal and State program that provides medical assistance for low-income
Americans
Q: Medicare
Answer:
Administered by CMS under Department of Health and Human Services. A federal
program of health insurance for persons 65 years of age and older, disable, end
stage renal failure. Not comprehensive coverage-no vision, dental, etc.
Q: demand side rationing
Answer:
Prices and ability to pay ration the quantity and type of health care services people
consume
Q: Planned rationing or supply-side rationing
Answer:
Refers to government means to limit the availability of certain health care services
by deciding, for instance, how technology will be dispersed and who will be
allowed access to certain types of high-tech services. National health insurance
enables this, U.S. hasn't
Q: ACA mandates
Answer:
preventative and immunizations must be without cost sharing and no lifetime limit
on benefits
Q: individual private health insurance
Answer:
for those who don't have group coverage like farmers, early retirees, and self
employed
, Q: Medicare A
Answer:
hospital insurance, covered by payroll taxes, paid equal by employer and
employee, covers things like inpatient services, home health, hospice, benefit
period begins when person is hospitalized and ends after 60 days of release
Q: Medicare B
Answer:
supplemental medical insurance covers physician services, outpatient, diagnostic
tests, preventatives, annual deductible and coinsurance 80:20
Q: Medicare C
Answer:
Additional coverage not covered under A or B. Often called the advantage plan or
choice plan like vision or dental, eliminates need for Medigap, people can either be
in fee for service program or have this
Q: Medicare D
Answer:
Prescription drug coverage, available to ppl who have A or B, monthly premium
and deductible, created under Medicare Prescription Drug improvement and
modernization act of 2003 (MMA)
Q: Medicaid
Answer:
Title 19, finances for indigent, means tested program based on income and per
capita of state, financed by stated and federal
Q: CHIP
Answer:
Title 21, covers kids in low income families under 19, incomes at or below 200%
of federal poverty level, states can use Medicaid or have this separate program, fed
and state financed
Q: issues with Medicaid
